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Membership Profile Financial Commitment Form



We are very pleased that you have chosen to become a member of The Temple-Tifereth Israel, a warm and welcoming synagogue family.

Member #1 Information (required)
Yes
No
Single
Life Partner
Divorced
Widowed
Married/Engaged (please enter date of marriage below, if married)

























Yes
No
Member #2 (if applicable)
Yes
No

























Please list children, including those away at college, married, or living independently.
Child 1 Information (if applicable)
female
male
Yes
No
Child 2 Information (if applicable)
female
male
Yes
No
Child 3 Information (if applicable)
female
male
Yes
No
Child 4 Information (if applicable)
female
male
Yes
No
The Temple Times, Active Roles, Contact Requests, and Feedback
U.S.P.S. (snail mail)
Save a stamp!We will retrieve an online version of The Temple Times at http://bit.ly/TTTITempleTimes
Publication
Website
Other
I was personally referred to The Temple (please feel free to tell us who below)
Ganon Gil Preschool
Temple Learning Center
Adult Education
Kabbalat Shabbat
Rock My Soul
TGIS
High Holy Days
Clergy Team
Community
Special Programs
New to Area
Grew up Here
Family
Friends
Other (please tell us more below)

Full Name(s) - Relationship

Membership Commitment and Payment Choices (required)
Standard (you or your spouse are 45 or your child is 1st grade or above) $2,220.00
Young Congregant 1 (you and your spouse are under 36 and your child is younger than 1st grade) $235.00
Young Congregant 2 (you and your spouse are between 36-38 and your child is younger than 1st grade) $380.00
Young Congregant 3 (you and your spouse are between 39-41 and your child is younger than 1st grade) $525.00
Young Congregant 4 (you and your spouse are between 42-44 and your child is younger than 1st grade) $670.00
Out-of-Town (you have a permanent out-of-state residence and live there 9 or more months of the year) $670.00
Associate (you are a member at another congregation - this does not include burial privileges or enrollment in TLC) $1,110.00
Fee $108.00
Not a Standard Member $0.00
One Payment Now $1,200.00
Two annual payment of $600.00 for a total of $1,200.00 $600.00
Seven annual payments of $250.00 each for a total of $1,750.00 $250.00

You may be eligible for a credit if you paid into a building fund at another congregation.

Payment choices - You must choose one

Please let us know when we can expect the second payment (before 4/30).

Financial Commitment (required)

By typing my/our name(s) below I/we state that I/we understand that I/we am/are responsible for paying all financial commitments to The Temple as they apply. I/We also understand that this membership will automatically renew on July 1st of every eyar.

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Increase the payment amount by 3% to cover credit card fees (No fee for Checking)
Total:   

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